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Chemotherapeutic Drug Administration . Prepared By : Miss. Sana’a AL- Sulami Teacher Assistant . Outlines : . Definition of Chemotherapeutic Drug Administration Administration of Chemotherapeutic Agents Dosage of chemotherapeutic administration

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chemotherapeutic drug administration

Chemotherapeutic Drug Administration

Prepared By :

Miss. Sana’a AL-Sulami

Teacher Assistant

outlines
Outlines :
  • Definition of Chemotherapeutic Drug Administration
  • Administration of Chemotherapeutic Agents
  • Dosage of chemotherapeutic administration
  • Equipment of chemotherapeutic drug administration
  • Implementation of administration chemotherapeutic drugs.
chemotherapeutic drug administration1
Chemotherapeutic Drug Administration :
  • Administration of chemotherapeutic drugs requires skills in additional to those used when giving other drugs .
  • For example some drugs require special equipment or must be given through unusual route.
chemotherapeutic drug administration2
Chemotherapeutic Drug Administration :
  • Others drugs need protection from the light
  • specially trained nurses and physicians should give chemotherapeutic drugs.
administration of chemotherapeutic agents
Administration of Chemotherapeutic Agents
  • Chemotherapeutic agents may be administered in the hospital, clinic, or home setting by topical, oral, intravenous, intramuscular, subcutaneous, arterial, intracavitary.
  • The administration route usually depends on the type of agent, the required dose, and the type, location, and extent of tumor being treated.
dosage
DOSAGE:
  • Dosage of antineoplastic agents is based primarily on the
    • patient’s total body surface area
    • previous response to chemotherapy or radiation therapy
    • major organ function.
complication of chemotherapeutic drugs
Complication of Chemotherapeutic Drugs:
  • Nausea and vomiting
  • Intestinal irritation
  • Stomatitis
  • Hearing loss
  • Anemia
  • Alopecia
complication of chemotherapeutic drugs1
Complication of Chemotherapeutic Drugs:
  • Diarhea
  • constipation
  • Inflammation, ulceration, necrosis and loss of vein patency.
equipment
Equipment :
  • 1-Prescribed drug
  • 2-Gloves
  • 3-Aluminum foil
  • 4-Normal saline solution
  • 5-Syringe and needles
  • 6-Normal pump or controller
implementation
Implementation:
  • Assess the patient\'s physical condition, and review his medical history
  • Make sure you understand what chemotherapeutic agent needs to be given and by what route, and provide the necessary teaching and support to the patient and his family
implementation1
Implementation:
  • Confirm the patient\'s identity according to your facility policy
  • Determine the best site to administer the drug, When selecting the site, consider drug compatibilities, frequency of administration
implementation2
Implementation:
  • Evaluate your patient\'s condition, the result of

recent laboratory studies .

  • Determine whether the patient has received

chemotherapy before ,and note the severity of any adverse effects.

  • Check his drug history for medications that may interfere with chemotherapy. Talk with the physician or pharmacist before you give it.
implementation3
Implementation:
  • Check the patient\'s chart for complete

chemotherapy protocol order, including the

patient\'s name and dosage, and route ,rate and frequency of administration

  • Check to see whether the physician has ordered an antiemetic, fluids , a diuretic, or electrolyte supplements to be given before , during , or after chemotherapy administration.
implementation4
Implementation:
  • Evaluate the patient\'s and his family\'s understanding of chemotherapy, and make sure the patient or a responsible family member has signed the consent form.
  • Put on gloves. Keep them on through all stages of handling the drug including preparation, I.V. tubing, and administration.
implementation5
Implementation:
  • Before administering the drug avoid giving chemotherapeutic drugs through an existing I.V. line.
  • To identify an administration site, examine the patient\'s veins starting with his hands and proceeding to his forearm.
  • When an appropriate line is in place, infuse 10 to 20 ml of normal saline solution to test vein patency .
implementation6
Implementation:
  • Never test vein patency with a chemotherapeutic drug. Next, administer the drug as appropriate.
  • Closely monitor the patient for signs of hypersensitivity reaction.
  • After infusion of the medication, infuse 20 ml of normal saline solution. Do this between administrations of different chemotherapeutic drugs and before discontinuing the I.V. line.
implementation7
Implementation:
  • Dispose of used equipment in properly container.
  • Wash your hands thoroughly with soap and warm water after giving any chemotherapeutic drug
documentation
Documentation:
  • Location & description of the I.V site before treatment
  • Record the drug & dosage administration
  • Sequence of drug administration
  • Needle type and the size used
  • Amount & type of flushing solution
documentation1
Documentation:
  • Document any adverse reaction
  • Patient’s tolerance of treatment.
  • Topics discussed with the patient and his family.
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